Individual
DR. ANNE MARIE ANGELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 CRESCENT DR FL 2, PHILADELPHIA, PA 19112-1016
(215) 503-7090
(215) 503-3210
Mailing address
3 CRESCENT DR FL 2, PHILADELPHIA, PA 19112-1016
(215) 503-7090
(215) 503-3210
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
MD028466E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0501250000
KEYSTONE HEALTH PLAN EAST
—
01
—
3829147004
CIGNA
—
01
—
63621
US HEALTH CARE, AETNA
—
Enumeration date
12/12/2006
Last updated
01/02/2019
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